SEQUEL OF OWENS CROSS ROADS (SEQUEL TSI OF ALABAMA, LLC OWENS) NPI 1114295326

Substance Abuse Rehabilitation Facility (Substance Abuse Treatment, Children) in Owens Cross Roads, AL

NPI 1114295326 Organization Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children

About SEQUEL OF OWENS CROSS ROADS (SEQUEL TSI OF ALABAMA, LLC OWENS)

Sequel Of Owens Cross Roads (sequel Tsi Of Alabama, Llc Owens) is a provider established in Owens Cross Roads, Alabama specializing in substance abuse rehabilitation facility (substance abuse treatment, children) . The NPI number of Sequel Of Owens Cross Roads (sequel Tsi Of Alabama, Llc Owens) is 1114295326 and was assigned on December 2011. The practitioner's primary taxonomy code is 3245S0500X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Sequel Of Owens Cross Roads. The authorized official of this NPI record is Mr. Kenny Roberts (Vp Of Al Operations)

NPI

1114295326

Provider NameSEQUEL OF OWENS CROSS ROADS (SEQUEL TSI OF ALABAMA, LLC OWENS)
Provider Location Address318 HAMER RD OWENS CROSS ROADS, AL 35763
Provider Mailing Address318 HAMER RD OWENS CROSS ROADS, AL 35763
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Other Organization NameSEQUEL OF OWENS CROSS ROADS
Other Name TypeDoing Business As (3)
Enumeration Date12-02-2011
Last Update Date12-02-2011


Primary Taxonomy

Taxonomy Code3245S0500X
ClassificationSubstance Abuse Rehabilitation Facility
TypeResidential Treatment Facilities
SpecializationSubstance Abuse Treatment, Children
Taxonomy DescriptionA facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

Business Address

SEQUEL OF OWENS CROSS ROADS
318 HAMER RD
OWENS CROSS ROADS, AL
ZIP 35763
Phone: (256) 725-7170

Get Directions


Mailing Address

SEQUEL OF OWENS CROSS ROADS
318 HAMER RD
OWENS CROSS ROADS, AL
ZIP 35763
Phone: (256) 725-7170



Authorized Official

Authorized Official NameMR. KENNY ROBERTS
Authorized Official TitleVP OF AL OPERATIONS
Authorized Official Phone(256) 725-7170

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1821326729SEQUEL TSI OF ALABAMA, LLC NEW BEGINNINGS
Organization
Psychiatric Residential Treatment Facility318 HAMER RD
OWENS CROSS ROADS, AL 35763
(256) 725-7171

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.